CMS Price Transparency Data

Total hip replacement

Facility: John Randolph Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,932
about 1.1× the $13,117 Medicare rate · typically $12,823–$28,514
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,524
Well above the fair price
about $13,592 over the fair price · 2.2× Medicare
Medicare pays $13,117 Fair price $14,932 This hospital $28,524

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $12,527 Priciest $28,524

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $14,932 (about 1.1× the $13,117 Medicare rate). John Randolph Medical Center charges insurers about $28,524 — well above the fair price. Located in Hopewell, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $14,932. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20,288 - $41,240 155%
Blue Cross Blue Shieldmajor $21,861 - $30,072 167%
Aetnamajor $19,878 - $30,682 152%
Cignamajor $23,272 - $35,107 177%
Humanamajor $14,000 107%
Devoted Health $15,658 119%
Oscar Health $12,499 95%
Sentara $29,307 223%
+ 3 smaller / regional plans $1,995 - $12,000

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 411 West Randolph Road, Hopewell, VA 23860
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals